Service Request Form

Automated Access Systems, Inc. service rates:

  • $80/hr travel and $70/hr while working on site.
  • Emergency Service:$140/hr with a 4 hour minimum ($560).

* Your Name:   * Your Phone Number:

* E-mail Address:   Alternate Contact Info:

* Company Name:

Company Phone Number:   Fax:

* Service Address:

* PO #:
Please note!!: Automated Access Systems will not schedule an emergency service call without a PO #.

* Has this equipment been serviced by Automated Access Systems, Inc. in the past?
Yes   No

* Location(s) of door(s) to be serviced: (ex. main entrance, front, side, rear, inner, outer, etc.)

* Type of door(s) to be serviced: (must check at least one)
Slider   Swinger   Bifold   Manual   Handicap Swing Door  

* Please describe problem with the door(s):

* Billing Name:

* Billing Address:

* Billing Contact & Phone #: